| Odyssey Community School | |
|
100 N Depot St San Martin CA 95046-9517 | |
| (408) 281-0708 | |
| (408) 281-2658 |
| Full Name | Odyssey Community School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 N Depot St, San Martin, California |
| Authorized Official Name and Position | Karen Shomura (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4082810708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey Community School 90 Great Oaks Blvd 108 San Jose CA 95119-1314 Ph: (408) 281-0708 | Odyssey Community School 100 N Depot St San Martin CA 95046-9517 Ph: (408) 281-0708 |
| NPI Number | 1871887851 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 06/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871887851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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